scholarly journals Risk factors during pregnancy and delivery for the development of Perthes’ disease, a nationwide Swedish study of 2.1 million individuals

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Maria Lindblad ◽  
Ann Josefsson ◽  
Marie Bladh ◽  
Gunilla Sydsjö ◽  
Torsten Johansson
Keyword(s):  
Disease Diagnosis ◽  
Perthes Disease ◽  
Control Group ◽  
Normal Birth ◽  
Treatment And Prevention ◽  
Skeletal Changes ◽  
Pregnancy And Delivery ◽  
Birth Characteristics ◽  
Study Population ◽  
Breech Birth

Abstract Background To ascertain or disprove a correlation between suboptimal birth characteristics, breech position at delivery and development of Perthes’ disease. Methods Study material was collected from nationwide registers regarding diagnoses, birth statistics and delivery data. As study population were included children with a diagnosis code for Perthes’ disease who were alive and living in Sweden at age 13. Children with missing birth statistics were excluded. All children with no Perthes’ disease diagnosis were used as control group. Both single and multiple logistical regression analyses were used to calculate OR for the included characteristics. Results Children in breech position had a higher risk for developing Perthes’ disease. Children with Perthes’ disease had also a higher probability of having been born pre-term, very pre-term or post-term. Lower than normal birth weight and a lower Apgar-score were also associated with Perthes’ disease. Conclusions There is a correlation between breech birth and development of Perthes’ disease. There is also correlation to suboptimal birth characteristics. Despite our findings this should not be used for screening of Perthes’ disease as the percentage of children who actually develop it is very low. Also, as of yet there is no possibility to diagnose Perthes’ disease before the presence of skeletal changes. Our findings could be important in finding the cause of Perthes’ disease and therefore developing better diagnostics, treatment and prevention.

Berat Badan, Panjang Badan dan Faktor Genetik sebagai Prediktor Terjadinya Stunted pada Anak Sekolah

2017 ◽  
Vol 19 (2) ◽  
pp. 95
Author(s):  
Hetriana Leksananingsih ◽  
Slamet Iskandar ◽  
Tri Siswati
Keyword(s):  
Birth Weight ◽  
Nutritional Status ◽  
School Children ◽  
Genetic Factors ◽  
Control Group ◽  
Case Group ◽  
Normal Birth Weight ◽  
Chi Square ◽  
Normal Birth ◽  
Chi Square Test

Background: Riskesdas in 2013 showed that Yogyakarta (DIY) had a prevalence of stunted new kid in school is less than the national average, which is 14.9% (MOH, 2013). Stunted or short, is a linear growth retardation has been widely used as an indicator to measure the nutritional status of individuals and community groups. Stunted can be influenced by several factors: birth weight, birth length match and genetic factors. Objective: To determine the weight, length of low birth weight and genetic factors as predictors of the occurrence of stunted on elementary school children. Methods: The study was a case control analytic. Research sites in SD Muhammadiyah Ngijon 1 Subdistrict Moyudan. The study was conducted in May and June 2015. The subjects were school children grade 1 to grade 5 the number of cases as many as 47 children and 94 control children. With the inclusion criteria of research subjects willing to become respondents, was present at the time of the study, they have a father and mother, and exclusion criteria have no data BB and PB birth, can not stand upright. The research variables are BBL, PBL, genetic factors and TB / U at this time. Data were analyzed by chi-square test and Odd Ratio (OR) calculation. Results: In case group as much as 91.5% of normal birth weight and length of 80.9% of normal birth weight, most of the height of a normal mother and father as many as 85.1%. In the control group as much as 78.7% of normal birth weight and 61.7% were born normal body length, height mostly normal mom and dad that 96.7% of women and 90.4% normal normal father. Statistical test result is no significant correlation between height mothers with stunted incidence in school children, and the results of chi-square test P = 0.026 with value Odd Ratio (OR) of 3.9 and a range of values from 1.091 to 14.214 Cl95%. Conclusion: High maternal body of mothers can be used as predictors of the occurrence of stunted school children and mothers with stunted nutritional status have 3.9 times the risk of having children with stunted nutritional status.

Short- and long-term outcomes of preterm spontaneous twin anemia-polycythemia sequence

2020 ◽  
Vol 48 (4) ◽  
pp. 329-334
Author(s):  
Soo Jin Han ◽  
Seung Mi Lee ◽  
Sohee Oh ◽  
Subeen Hong ◽  
Jeong Won Oh ◽  
...  
Keyword(s):  
Cord Blood ◽  
Neonatal Morbidity ◽  
Adverse Outcomes ◽  
Control Group ◽  
Long Term Outcomes ◽  
Neurodevelopmental Outcomes ◽  
Monochorionic Twin ◽  
Increased Risk ◽  
Study Population

AbstractBackgroundIn monochorionic twin pregnancy, placental anastomosis and inter-twin blood transfusion can result in specific complications, such as twin-twin transfusion syndrome (TTTS) and twin anemia-polycythemia sequence (TAPS). It is well established that adverse outcomes are increased in TTTS, but reports on the neonatal and long-term outcomes of TAPS are lacking. The objective of this study was to evaluate the neonatal and neurodevelopmental outcomes in spontaneous TAPS.MethodsThe study population consisted of monochorionic twin pregnancies with preterm birth (24–37 weeks of gestation) between November 2003 and December 2016 and in which cord blood was taken at the time of delivery. According to the result of hemoglobin in cord blood, the study population was divided into two groups: a spontaneous TAPS group and a control group. Neonatal and neurodevelopmental outcomes were compared between the two groups.ResultsDuring the study period, 11 cases were diagnosed as spontaneous TAPS (6.4%). The TAPS group had lower gestational age at delivery and had a higher risk for cesarean delivery. However, neonates with TAPS were not at an increased risk for neonatal mortality and significant neonatal morbidity. In addition, the frequency of severe cerebral lesion during the neonatal period and the risk of cerebral palsy at 2 years of age were not different between the two groups.ConclusionThe spontaneous TAPS diagnosed by postnatal diagnostic criteria was not associated with the increased risk of adverse neonatal and neurodevelopmental outcomes. Further studies are needed to evaluate the morbidity of antenatally diagnosed TAPS.

scholarly journals Mean Platelet Volume and Platelet Distribution Width as Markers in the Diagnosis of Acute Gangrenous Appendicitis

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Zhe Fan ◽  
Jiyong Pan ◽  
Yingyi Zhang ◽  
Ziyi Wang ◽  
Ming Zhu ◽  
...  
Keyword(s):  
Mean Platelet Volume ◽  
Medical Condition ◽  
Roc Curves ◽  
Disease Diagnosis ◽  
Control Group ◽  
Platelet Distribution Width ◽  
Platelet Volume ◽  
Distribution Width ◽  
Gangrenous Appendicitis ◽  
Wbc Count

Introduction.Acute gangrenous appendicitis (AGA) is a common medical condition; however, the grade of appendicitis usually cannot be established preoperatively. We have attempted to identify some indicators, such as the mean platelet volume (MPV) and the platelet distribution width (PDW), to diagnose AGA.Aims.To evaluate whether or not the MPV and PDW are suitable markers to diagnose AGA.Methods.A retrospective study of 160 patients with AGA and 160 healthy patients was undertaken. Disease diagnosis was confirmed based on the pathologic examination of surgical specimens. Patient white blood cell (WBC) count, neutrophil ratio (NR), platelet (PLT) count, MPV, PDW, and hematocrit (HCT) were analyzed. Receiver operating characteristic (ROC) curves were used to evaluate the sensitivity and specificity of these indices in AGA.Results.There were no significant differences between the AGA and control groups in age and gender. Compared to the control group, the WBC count, NR, and PDW were significantly higher (P<0.001, resp.) and the MPV and HCT were significantly lower (P<0.001, resp.) in the AGA group. The diagnostic specificities of the WBC count, NR, PLT count, MPV, PDW, and HCT were 86.3%, 92.5%, 58.1%, 81.7%, 83.9%, and 66.3%, respectively. Therefore, the NR had the highest diagnostic specificity for the diagnosis of AGA.Conclusions.This is the first study to assess the MPV and PDW in patients with AGA. Our present study showed that the MPV is reduced and the PDW is increased in patients with AGA; the sensitivity of PDW was superior to the MPV. A decreased MPV value and an increased PDW could serve as two markers to diagnose AGA. The NR had the highest specificity for the diagnosis of AGA.

scholarly journals Dental and skeletal changes in mild to moderate Class II malocclusions treated by either a Twin-block or Xbow appliance followed by full fixed orthodontic treatment

2015 ◽  
Vol 85 (6) ◽  
pp. 997-1002 ◽  
Author(s):  
Sayeh Ehsani ◽  
Brian Nebbe ◽  
David Normando ◽  
Manuel O Lagravere ◽  
Carlos Flores-Mir
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Control Group ◽  
Block Group ◽  
Two Phase ◽  
Mandibular Incisor ◽  
Twin Block ◽  
Treatment Groups ◽  
Skeletal Changes ◽  
Length Increase

ABSTRACT Objective:  To compare the short-term skeletal and dental effects of two-phase orthodontic treatment including either a Twin-block or an XBow appliance. Materials and Methods:  This was a retrospective clinical trial of 50 consecutive Class II cases treated in a private practice with either a Twin-block (25) or XBow (25) appliance followed by full fixed orthodontic treatment. To factor out growth, an untreated Class II control group (25) was considered. Results:  A MANOVA of treatment/observation changes followed by univariate pairwise comparisons showed that the maxilla moved forward less in the treatment groups than in the control group. As for mandibular changes, the corpus length increase was larger in the Twin-block group by 3.9 mm. Dentally, mesial movement of mandibular molars was greater in both treatment groups. Although no distalization of maxillary molars was found in either treatment group, restriction of mesial movement of these teeth was seen in both treatment groups. Both treatment groups demonstrated increased mandibular incisor proclination with larger increases for the XBow group by 3.3°. The Wits value was decreased by 1.6 mm more in the Twin-block group. No sex-related differences were observed. Conclusions:  Class II correction using an XBow or Twin-block followed by fixed appliances occurs through a relatively similar combination of dental and skeletal effects. An increase in mandibular incisor inclination for the XBow group and an increased corpus length for the Twin-block group were notable exceptions. No overall treatment length differences were seen.

scholarly journals Back Pain and Body Posture of Non-Professional Brazilian Jiu-Jitsu Athletes

2021 ◽  
Author(s):  
Katarzyna Sędek ◽  
Aleksandra Truszczyńska-Baszak ◽  
Katarzyna Cygańska Anna ◽  
Justyna Drzał-Grabiec
Keyword(s):  
Back Pain ◽  
Oswestry Disability Index ◽  
Spinal Pain ◽  
Thoracolumbar Junction ◽  
Control Group ◽  
Training Time ◽  
Pain Location ◽  
Postural Changes ◽  
Study Population ◽  
Parameter Values

Abstract Background The aim of the study was to assess the prevalence of back pain in non-professional Brazilian jiu-jitsu (BJJ) athletes, and to assess the relationship between their back pain and postural disorders. Methods The study involved 61 subjects: 31 subjects who trained Brazilian jiu-jitsu and 30 subjects who had never trained any martial arts. The mean BJJ training time in the study population was 3.89 ± 4.13 years. The athletes’ trained 4.06 ± 2.8 times a week and took 1.5 hours. Postural assessments were conducted with the use of the photogrammetric method. The assessment of back pain and injuries was conducted with the Oswestry Disability Index (ODI) and with our proprietary questionnaire. Results Among both populations, 37 subjects reported back pain − 22 athletes (71.0%) and 15 controls (50%) (p = 0,094). There were no differences in back pain location between the two groups (p > 0.05) or in functional state on the Oswestry Index (21.5% in the study population and 20% in the control group, p = 0.121). We observed significant differences between the groups in the values of four of the postural parameters. For each of these four parameters, parameter values were higher in the study population: DCK-spinal height from C1 to S1 (474.8 ± 25.4 vs 447.1 ± 25.9, p = 0.001); RKP-length of kyphosis between C7 and thoracolumbar junction (321.9 ± 15.2 vs 307.3 ± 22.2, p = 0.010); RLL-length of lordosis between S1 and thoracolumbar junction (152.9 ± 18.2 vs. 139.8 ± 17.6, p = 0.009) and KNM-pelvis inclination angle (2.24 ± 1.18 vs. 1.64 ± 1.34, p = 0.041). We found statistically significant differences in the study population between the athletes with and without back pain. These differences were found in the following parameters: RKP-length from C7 to peak of kyphosis (p = 0.01) and TT-difference between height of the waist triangles (p = 0.018). Conclusions There are no differences in back pain in regard to its frequency, intensity and location between non-professional BJJ athletes and subjects who do not train BJJ. Both in the study population and in the control group the spinal pain was minimal or moderate on the Oswestry Disability Index. BJJ athletes who reported back pain had characteristic postural changes in some of the analysed postural parameters in comparison to BJJ athletes who did not report back pain.

scholarly journals CONDITIONAL TISSUE CONDITION IN PATIENTS WITH PROSTHETIC DENTISTS IN THE PROCESS OF ORTHOPEDIC TREATMENT WITH PROSTHESES MODIFIED BY NANOMATER

2021 ◽  
pp. 20-25
Author(s):  
B.Y. Silenko ◽  
V.M. Dvornik ◽  
Y.I. Silenko
Keyword(s):  
Mucous Membrane ◽  
Soft Tissues ◽  
Dental Treatment ◽  
Fullerene C60 ◽  
Control Group ◽  
Orthopedic Treatment ◽  
Residual Monomer ◽  
Minimum Concentration ◽  
Treatment And Prevention ◽  
Orthopedic Care

The main cause of prosthetic stomatitis belongs to the chemical and toxic action of the residual monomer of the prosthesis base, which is a protoplasmic poison. Occurrence of prosthetic stomatitis depends not only on quality of production of prosthesis in laboratory though at non-observance of technology indicators of residual monomer can reach 2-5%, but also at individual intolerance at its minimum concentration in a prosthesis after polymerization - 0,2-0 .5%. The aim of our study was to increase the effectiveness of orthopedic treatment of patients with prosthetic stomatitis by coating the plastic of removable prostheses with nanoscale materials. Materials and methods. To solve this goal, we studied the condition of the tissues of the prosthetic place of patients with prosthetic stomatitis with prosthetic removable prostheses with modified plastic. Orthopedic dental treatment of 50 people was examined and performed, including 25 people (the second group, prostheses were not covered with nanoparticles) and 25 people (the third group, prostheses were covered with nanoparticles). The first control group consisted of 10 people without signs of pathology. Prior to treatment, all patients had removable acrylic plastic dentures. The reason for seeking orthopedic care was a violation of masticatory function and the inability to use previously made prostheses due to the development of pain in the soft tissues of the prosthetic place. Complaints of pain were observed in all patients of varying intensity, impaired fixation and stabilization of the prosthesis due to swelling of the mucous membrane of the soft tissues of the prosthetic place, heartburn and dryness were observed in 90% of patients. Complaints were also about speech and aesthetic defects. Patients of III group after two weeks of using prostheses were coated with the inner surface of the prosthesis, which is in direct contact with the mucous membrane of the prosthetic place with molecules of fullerene C60, by magnetron sputtering. For this purpose, the prostheses were removed from the patients for several days and returned after the coating with the nanomaterial, after which the observation was continued. The results. After coating the prostheses in patients of group III with Fullerene C60, we observed the disappearance of inflammation of the mucous membrane under the prosthesis and patients noted the absence of discomfort. Рatients in II group had a negative dynamics in 80% and had diffuse inflammation of the mucous membrane under the prosthesis. Within 3 months of use, 18 patients (72%) in II group reported that they stopped using removable dentures during the day, due to unpleasant pain under the prosthesis, and used only during meals and during conversations. In contrast to II group, patients in III group did not notice discomfort when using plate prostheses. Conclusions. Obtained in the course of the work convincingly prove the effectiveness of the use of removable plate prostheses with nanocoating for the treatment and prevention of prosthetic stomatitis in patients. This is evidenced by the data of objective examination and the disappearance of complaints from patients.

scholarly journals Features of the course and treatment of chronic catarrhal gingivitis in dogs

2020 ◽  
Vol 22 (100) ◽  
pp. 71-77
Author(s):  
N. M. Khomyn ◽  
A. R. Mysak ◽  
S. V. Tsisinska ◽  
V. V. Pritsak ◽  
N. V. Nazaruk ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Periodontal Disease ◽  
Mucous Membrane ◽  
Inflammatory Process ◽  
Recovery Period ◽  
Control Group ◽  
Treatment And Prevention ◽  
Before And After ◽  
Medicinal Substances ◽  
Effective Treatment Regimen

Periodontal disease is known to be the most common and serious health problem in dogs today. Despite the rather large arsenal of medicinal substances, the problem of treatment and prevention of periodontal disease remains relevant. Based on this, the purpose of the work was to study the features of chronic catarrhal gingivitis and to develop an effective treatment regimen for dentistically ill dogs. For research, two groups of animals with chronic catarrhal gingivitis were formed in 5 dogs in each (control and experimental), selected on the principle of analogues in terms of age, character and localization of the inflammatory process. Animals of the control and experimental groups were performed tartar removal, irrigation of the oral cavity with water and drying of the mucosa with a sterile gauze swab. Dogs of the control group on the mucous membrane was applied 1 ml of septogel 2 times a day, and the experimental – argumentistin 2 times a day. Before and after the procedures on the mucous membrane was applied a 3 % solution of hydrogen peroxide. It was determined the prevalence of dental disease in dogs, the influence of microflora on the condition of the oral cavity of dogs with chronic catarrhal gingivitis, the clinical condition and the main indices and samples were studied, reflecting the intensity of the inflammatory process in the gums of sick dogs and was developed a method of treatment. The results of researches have shown that the use of argumentistin in the complex treatment of dogs with chronic catarrhal gingivitis helps to reduce the recovery period by 5 days.

scholarly journals Gymnastic and Warm Compression Effect on Dysmenohrea Adolescence Overcoming Behavior

2018 ◽  
Vol 6 (5) ◽  
Author(s):  
Deswani Kasim ◽  
Sri Maryani Syahlan
Keyword(s):  
Young Women ◽  
Reproductive Organs ◽  
Pain Scale ◽  
Learning Activities ◽  
Control Group ◽  
Nursing Interventions ◽  
Compression Effect ◽  
Quasi Experimental ◽  
Study Population

Changes that occur in young women entering puberty are the functioning of all reproductive organs, one of which is marked by the onset of menstruation that can cause pain during menstruation which is also called dysmenorrhea. Dysmenorrhea is a condition where a woman experiences pain before menstruation and during menstruation. Dysmenorrhea can interfere with learning activities and indirectly can also affect the productivity and quality of life of adolescents. The purpose of the study was to determine the effect of gymnastics and warm compresses on the management of dysmenorrhea and pain scale. The research design used the quasi-experimental design with the non-randomized pretest-posttest control group. The study population was 60 respondents, the results of the study of the effect of warm gymnastics and compress in reducing teenage dysmenorrhea dysmenorrhea with controlled gymnastics and warm compresses  Gymnastics and warm compresses can be recommended for teenagers and as part of nursing interventions to deal with dysmenorrhea.

scholarly journals A comparative study between vacuum assisted wound closure vs conventional dressing in non-healing ulcers

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2214-2223
Author(s):  
Ajay Rex R ◽  
Balaji D ◽  
Lakshmana R ◽  
Gopi Ramu ◽  
Reka
Keyword(s):  
Hospital Stay ◽  
Wound Closure ◽  
Healing Process ◽  
Control Group ◽  
P Value ◽  
Baseline Characteristic ◽  
Age Group ◽  
Average Hospital ◽  
Study Results ◽  
Study Population

In a surgical ward, acute and continual wounds have an effect on a minimal of 1% of the population. Vacuum-assisted wound closure (VAC) is a technique of Negative pressure in the wound to improve the healing process. To study the advantage of a vacuum assisted closure over conventional dressing in the management of chronic non-healing diabetic ulcers. To study the difference in the rate of amputation, hospital stays in case and control groups. Group1-case group – vacuum associated closure therapy. Group 2-Control group -conventional dressings. Most of the patients in the study population was in the age group of 41 -60 years. 82% of the study population was within the age group of 41-60 years. The two groups are comparable with their baseline characteristic of age, and the P-value is less than 0.05. Wounds were more common in males than females. Out of the 44 patients, 26 were male, i.e. 57% of the study population were males. About 68% of wounds occurred in the foot. About 50% of the culture showed staphylococcus. Nearly 27% of study participants had no growth. The hospital stay is less in VAC dressing when compared to the conventional dressings, who have an average hospital stay of 28 days and the relation is statistically significant (p-value<0.05). Mean hospital stay in Vacuum is 21 compared to stay of 28 in conventional dressings group. Patients in Vacuum had 12 SSG,9 discharge and 1 amputation. There is no statistically significant association in terms of grade of ulcer between the two groups(P =0.23). There is a statistically significant association between VAC and conventional in terms of the results of the Doppler study. (P<0.01). From the study results, it is obvious that VAC dressing has many advantages in terms of Low no of amputation, Earlier discharge, Minimal infection, Lesser complications, Healing in a better way.

scholarly journals STUDI KOMPARASI MODEL PEMBELAJARAN TALKING STICK DAN SNOWBALL TRHOWING TERHADAP HASIL BELAJAR SISWA PADA MATERI TATA NAMA SENYAWA KELAS X SMA NEGERI 1 ALALAK

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Maziah Maziah ◽  
Raden Roro Ariessanty Alicia Kusuma Wardhani ◽  
Mohan Taufiq Mashuri
Keyword(s):  
Data Collection ◽  
Learning Outcomes ◽  
Research Design ◽  
Choice Test ◽  
Control Group ◽  
Multiple Choice Test ◽  
Control Group Design ◽  
Group Design ◽  
Study Population ◽  
Data Collection Technique

Penelitian ini bertujuan untuk membandingkan hasil belajar antara siswa yang dibelajarkan dengan talking stick dan snowball throwing. Desain penelitian yang digunakan adalah nonequivalent control group design. Populasi penelitian adalah seluruh siswa kelas X SMA Negeri 1 Alalak, dan sample penelitian adalah siswa kelas X IPA 1 yang berjumlah 25 orang dan siswa kelas X IPA 2 yang berjumlah 24 orang. Teknik pengumpulan data yang digunakan adalah tes berupa pilihan ganda. Data yang diperoleh dianalisis menggunakan uji t. Hasil penelitian menunjukkan   terdapat perbedaan hasil  belajar antara siswa  yang dibelajarkan dengan talking stick dansnowball throwing.This study aimed to compare learning outcomes between students who are taught with the talking stick and snowball throwing. The research design used was nonequivalent control group design. The study population was all students of class X SMA Negeri 1 Alalak, and the study sample was students of class X IPA 1, amounting to 25 people and students of class X IPA 2, amounting to 24 people. The data collection technique used is a multiple choice test. The data obtained were analyzed using the t test. The results of the study showed that there were differences  in  learning  outcomes  between  students  who  were taught  with  the talking stick and snowball throwing.

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